Hospital
Southern Mono Health Care District
Southern Mono Health Care District was paid $24.24M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoSOUTHERN MONO HEALTH CARE DISTRICT
MAMMOTH LAKES, CA 93546
MAMMOTH LAKES, CA 93546
33aNPI1053456400assigned 02/21/2007
33bProvider typeRural Acute Care Hospital
28Total paid$24.24M
24GClaims121,429
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Acute Care Hospital providers in California
Rank by total paid#1 of 6
Median peer was paid$397K
This provider vs. median61×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,889 | $3.56M | |
| 2019 | 17,008 | $3.08M | |
| 2020 | 16,476 | $3.20M | |
| 2021 | 22,962 | $4.84M | |
| 2022 | 20,078 | $3.86M | |
| 2023 | 16,135 | $2.66M | |
| 2024incomplete | 13,881 | $3.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 54% | 50,080 | 41,899 | $13.16M |
| 00003 | Internal/system code - not a standard HCPCS code | 42% | 29,384 | 20,428 | $10.15M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 12,026 | 8,180 | $340K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 17,536 | 11,165 | $324K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,558 | 1,247 | $84K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 577 | 265 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 904 | 466 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 627 | 417 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 435 | 266 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 333 | 193 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 186 | 111 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | 54 | $6K |
33 more codes
| 90686 | <1% | 1,512 | $5K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 348 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 55 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 76 | $3K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 43 | $3K |
| 99173 | <1% | 1,501 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 78 | $3K |
| 87631 | <1% | 96 | $2K | |
| 85018 | <1% | 899 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 278 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 120 | $2K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 119 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $1K |
| 81003 | <1% | 723 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 56 | $1K |
| 92551 | <1% | 170 | $1K | |
| 90656 | <1% | 26 | $639.03 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $529.95 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 47 | $521.38 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | $361.54 |
| 80053 | Comprehensive metabolic panel | <1% | 75 | $278.52 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 31 | $85.00 |
| 90651 | <1% | 21 | $72.00 | |
| 90785 | <1% | 47 | $65.96 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 24 | $62.10 |
| 90734 | <1% | 13 | $36.00 | |
| 81025 | <1% | 20 | $30.80 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 68 | $0.00 |
| 1036F | 0% | 12 | $0.00 | |
| 87634 | 0% | 16 | $0.00 | |
| 99001 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVAN WINKLE, MELANIE (CHIEF FINANCIAL OFFI)
| Provider | Location | Paid |
|---|---|---|
| Southern Mono Health Care District | Mammoth Lakes, CA | $2.72M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.